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[UPDATED] Guide to Telehealth & Other Communication Technology-Based Services

[UPDATED] Guide to Telehealth & Other Communication Technology-Based Services

Regulations and requirements for the delivery of virtual/technology-rendered services, including telehealth, e-visits, telephone assessments, remote evaluation of recorded video/images, and virtual check-ins, are changing at a fast and furious pace to allow patients to receive necessary health care during the COVID-19 pandemic without increasing the risk of exposure/infection through in-person visits or appointments with all types of health care professionals. This guide is intended to provide an overview of the different types of virtual care services available to PTs, OTs, and SLPs, with the understanding that state-specific information needs to be investigated and addressed by the client/clinician and that all providers should check with their specific payers prior to rendering and billing for any remote/virtual care services.

Note, that for the duration of the national public health emergency (PHE) due to COVID-19, the HHS Office for Civil Rights (OCR) has waived penalties for HIPAA violations against health care providers “that serve patients in good faith through everyday communications technologies, such as FaceTime or Skype.” Therefore, during the PHE providers have some flexibility as to which method they use to communicate with patients in certain cases, although a HIPAA-compliant platform is always recommended.  Check with your MAC and with each payer as to specific requirements regarding available technology.

For more information, read Casamba’s Guide to Telehealth & Other Communication Technology-Based Services.

Access APTA. Telehealth Resources

Access APTA. Telehealth Modalities

Access Center for Connected Health Policy

Access CMS Coronavirus Waivers & Flexibilities

Access CMS COVID-19 FAQs on Medicare FFS Billing (rev 5/27/20)

Access CMS Fact Sheet – Telemedicine (3/17/20)

Access CMS Interim Final Rule (3/30/20)

Access CMS Interim Final Rule (4/30/20)

Access CMS MLN Article 11791 (rev 5/26/20)

Access CMS Transmittal 10161 (5/26/20)

Access HHS. HIPAA, Civil Rights, and COVID-19: Notice of Discretion for Telehealth

Holly Hester

Holly Hester is Casamba’s Senior Vice President of Compliance & Education, as well as the Compliance Officer. She provides regulatory guidance and interpretation, clinical programming and content development, education and training steerage, and compliance support for the company. As a physical therapist for more than 20 years, Holly has multi-venue clinical and management experience, giving her a unique perspective on the integration of compliance and training with therapy service delivery and clinical practice.
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